Individual provider Active NPI

Douglas Geiger, MD

  • Diagnostic Radiology Physician
  • Bloomington, IN
National Provider Identifier
1063470110
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00104330A Issued in IN
Practice address
429 S Landmark Ave
Bloomington, IN 47403-5003
Phone
(812) 332-8242
Fax
(812) 333-7684
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 00104330A IN Primary

Addresses

Primary practice location

429 S Landmark Ave
Bloomington, IN 47403-5003

Mailing address

PO Box 4366
Bloomington, IN 47402-4366
Phone (812) 332-8242

Other identifiers 3

IdentifierTypeStateIssuer
P00157410OtherINRAILROAD MEDICARE
200311100MedicaidIN
300119155OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040327000148 IN Practitioner - Diagnostic Radiology 4981596608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.11 of 100Reported as group
Quality
83.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00104330AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sira Imaging Center LLC Diagnostic Radiology CurrentSince Dec 1, 2003 Accepting new patients
Southern Indiana Radiological Associates Inc Diagnostic Radiology CurrentSince Jul 1, 1993 Accepting new patients

Locations

660 S College Ave
Bloomington, IN 47403
Phone (812) 332-5090

429 S Landmark Ave
Bloomington, IN 47403

500 S Landmark Ave
Bloomington, IN 47403
Phone (812) 333-7676

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1063470110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4366",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474024366",
            "telephone_number": "812-332-8242",
            "fax_number": "812-333-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S LANDMARK AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035003",
            "telephone_number": "812-332-8242",
            "fax_number": "812-333-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "00104330A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00157410",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300119155",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.